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SPRING VALLEY, Calif. (KGTV) - An emotional reunion for a woman in Spring Valley with the first responders who helped save her after a crash. Megan Carbonell was reunited Monday with several of the paramedics with the San Miguel Fire Department. They were first on the scene in September of 2017 when she was struck by a driver while crossing Cristobal Drive wither her daughter. She suffered severe injuries, but survived. “If it wasn’t for you guys I wouldn’t be here,” she told the group of firefighters. 515

Spending cuts to schools, childhood vaccinations and job-training programs. New taxes on millionaires, cigarettes and legalized marijuana. Borrowing, drawing from rainy day funds and reducing government workers’ pay.These are some actions states are considering to shore up their finances amid a sharp drop in tax revenue caused by the economic fallout from the COVID-19 pandemic.With Congress deadlocked for months on a new coronavirus relief package, many states haven’t had the luxury of waiting to see whether more money is on the way. Some that have delayed budget decisions are growing frustrated by the uncertainty.As the U.S. Senate returns to session Tuesday, some governors and state lawmakers are again urging action on proposals that could provide hundreds of billions of additional dollars to states and local governments.“There is a lot at stake in the next federal stimulus package and, if it’s done wrong, I think it could be catastrophic for California,” said Assemblyman Phil Ting, a Democrat from San Francisco and chairman of the Assembly Budget Committee.The budget that Democratic Gov. Gavin Newsom signed in June includes .1 billion in automatic spending cuts and deferrals that will kick in Oct. 15, unless Congress sends the state billion in additional aid. California’s public schools, colleges, universities and state workers’ salaries all stand to be hit.In Michigan, schools are grappling with uncertainty as they begin classes because the state lacks a budget for the fiscal year that starts Oct. 1.Ryan McLeod, superintendent of the Eastpointe school district near Detroit, said it is trying to reopen with in-person instruction, “but the costs are tremendous” to provide a safe environment for students.“The only answer, really, is to have federal assistance,” McLeod said.Congress approved 0 billion for states and local governments in March. That money was targeted to cover coronavirus-related costs, not to offset declining revenue resulting from the recession.Some state officials, such as Republican Gov. Eric Holcomb of Indiana, are pushing for greater flexibility in spending the money they already received. Others, such as Republican Gov. Mike DeWine of Ohio, say more federal aid is needed, especially to help small businesses and emergency responders working for municipalities with strained budgets.In mid-May, the Democratic-led U.S. House voted to provide nearly trillion of additional aid to states and local governments as part of a broad relief bill. But the legislation has stalled amid disagreements among President Donald Trump’s administration, Republican Senate leaders and Democrats over the size, scope and necessity of another relief package. In general, Republicans want a smaller, less costly version.The prospects for a pre-election COVID-19 relief measure appear to be dimming, with aid to states and local governments one of the key areas of conflict.The bipartisan National Governors Association and Moody’s Analytics have cited a need for about 0 billion in additional aid to states and local governments to avoid major damage to the economy. At least three-quarters of states have lowered their 2021 revenue projections, according to the National Conference of State Legislatures.While Congress has been at loggerheads, many states have pressed forward with budget cuts.Wyoming Gov. Mark Gordon, a Republican, recently announced 0 million of “agonizing” cuts that he described as “just the tip of the iceberg” in addressing a billion budget shortfall caused by the coronavirus and declining revenue from coal and other natural resources. The cuts will reduce funding for childhood vaccinations and eliminate a program to help adults learn new job skills, among other things.“It is not likely that these trends are going to turn around rapidly or as significantly as we would like,” Gordon said.In August, Rhode Island Management and Budget Director Jonathan Womer sent a memo to state agencies instructing them to plan for a 15% cut in the fiscal year that starts next July.In some states, however, the financial outlook is not as dire as some had feared earlier this year.Previous federal legislation pumped money into the economy through business subsidies, larger unemployment benefits and ,200 direct payments to individuals. The resulting consumer spending led to a rebound in sales tax revenue in some states. Many states also delayed their individual income tax deadlines from April to July, which led to a larger than usual influx of summer revenue from taxpayers’ 2019 earnings.In Vermont, where lawmakers are expected to work on a budget next week, a deficit that some had feared could reach 0 million now is pegged around million. A predicted 8 million shortfall in Arizona for the current fiscal year has been revised to just million.Local governments in New Mexico said revenue has been propped up by surprisingly strong sales taxes. But “that sugar high from the federal stimulus will fall off, and our communities will be affected,” said A.J. Forte, executive director of the New Mexico Municipal League.New Mexico Gov. Michelle Lujan Grisham, a Democrat, is urging the Legislature to legalize and tax recreational marijuana as a way to shore up state revenue. Democratic Pennsylvania Gov. Tom Wolf also wants the Legislature to legalize marijuana, with the tax revenue going toward grants for small businesses and criminal justice reforms.State tax revenue often lags economic trends because individuals’ income losses aren’t reflected on tax returns until months later. As a result, experts warn that states might experience the lagging effects of the recession well into their 2021 and 2022 budget years.“The worst is still yet to come,” said Brian Sigritz, director of state fiscal studies at the National Association of State Budget Officers.The 2021 fiscal year began July 1 in most states. But seven states have yet to enact a full-year budget, in some cases because they have been waiting for congressional action on another relief bill.One such state is New Jersey, which shifted the start of its budget year from July to October because of the coronavirus pandemic. Democratic Gov. Phil Murphy recently proposed a budget that would slash about billion in spending, take on billion in debt and raise taxes on millionaires, businesses, yachts, cigarettes and health insurance plans.Murphy has said the initial federal aid didn’t provide enough “to deal with the variety of tsunamis that we’re facing.”In New York, Democratic Gov. Andrew Cuomo’s administration estimates the state will receive about billion less in tax revenue than once expected this fiscal year. Cuomo, who recently became chairman of the National Governors Association, wants Congress to provide an additional billion to New York to plug budget holes that he warns will compound in coming years.“There is no combination of savings, efficiencies, tax increases that could ever come near covering the deficit,” Cuomo said, “and we need the federal government to assist in doing that. Period.”___Associated Press writers Adam Beam in Sacramento, California; Mike Catalini in Trenton, New Jersey; Bob Christie in Phoenix; Tom Davies in Indianapolis; David Eggert in Lansing, Michigan; Mead Gruver in Cheyenne, Wyoming; Morgan Lee in Santa Fe, New Mexico; Marc Levy in Harrisburg, Pennsylvania; Wilson Ring in Stowe, Vermont; Andrew Taylor in Washington; Andrew Welsh-Huggins in Columbus, Ohio; and Marina Villeneuve in Albany, New York, contributed to this report. 7577

September is Prostate Cancer Awareness Month. According to American Cancer Society, one out of nine men will be diagnosed with prostate cancer during his lifetime. Ted was diagnosed two years ago at the age of 71.“The percentage of men my age that do come down with it is quite high, so I was startled – obviously nobody wants to find out they have cancer – but I wasn’t shocked,” prostate cancer patient Ted said.However, Ted found out he was a prime candidate for a type of treatment called HIFU, which stands for high-intensity focused ultrasound. The procedure has been around for quite a while, but it wasn’t approved for use on prostate cancer in the U.S. until 2015.“The HIFU procedure is basically a high-intensity focused ultrasound beam that oblates the cancer cells – basically blasts the cells away,” Ted said.Urologic surgeon Dr. Andre Abreu with Keck Medicine of USC says there’s a spectrum of patients who develop prostate cancer. Some are very low-risk, meaning they have very little cancer. They’re chosen for active surveillance where they are closely watched to make sure they don’t develop more cancer. Others have very advanced forms of cancer and need radical treatment like radiation or removal of the prostate. Then there are patients in the middle who largely benefit from HIFU.“In between, there are some patients with intermediate risk disease that are not the best candidate for us to watch them for active surveillance, however, the radical treatment would probably be associated with side effects,” Dr. Abreu said.Side effects like leaking urine, or issues with erectile dysfunction.“Some of these patients, they would be even willing to trade off some years of life, but having more quality of life,” Dr. Abreu said.A study at Keck Medicine of USC shows focal HIFU ablation carries a low risk of complication and can help preserve quality of life. That was certainly the case for Ted.“I experienced very little pain with the procedure," Ted said. "I took ibuprofen which is an over-the-counter pain reliever. And the only negative thing I did experience was wearing a catheter for a week.”“HIFU is repeatable, HIFU is non-invasive, HIFU is an out-patient procedure,” Dr. Abreu said.An out-patient procedure means the patient can be in and out of the hospital in one day without staying overnight. For Ted, it only took three hours. He says he would recommend the procedure to other men in a similar situation.“As I understand it, it’s been used in Europe for 15 years already with no problems. So, I think to take advantage of the technology that’s there is something the doctors should rely on,” Ted said. 2645

Social media dominated the top apps of the year.On Tuesday, Apple unveiled its list of the most downloaded iPhone apps of 2018. Topping the list is YouTube, followed by Instagram, Snapchat, Messenger and Facebook, respectively.Bitmoji — a Snapchat-owned app that lets users create an emoji that looks like them — dropped to sixth place on the list. It was the most downloaded app last year.It's been a challenging year for some social media companies, such as Facebook, which has faced criticism over privacy issues, data misuse, misinformation and election meddling on its platform. Nevertheless, Facebook's flagship app and two others owned by the company (Instagram and Messenger) made the top five on the most downloaded list.Snapchat also faced challenges this year, including navigating a controversial redesign that was widely panned by users, and heightened competition from Instagram — which has copied many of its popular features.Once again, the most popular paid app was selfie-editing tool Facetune (.99). Kirakira+ (SOLANA BEACH, Calif. (KGTV) - The FBI joined the case of a part-time San Diego resident and tourist found murdered on vacation in the Caribbean in October.Rick Kuhnla says his family was told Monday morning that the FBI entered into an agreement for a joint investigation into the murder of his mother Marie Kuhnla, 62.Nearly two months later, the grief is still raw."At work, I will be going through the day sometimes and it will hit me: I'm not going to see my mom again. It's almost like a panic. It's horrible," said Rick Kuhnla.In mid-October, Marie Kuhnla set off on a girls trip to a Club Med resort in Turks and Caicos with two friends and fellow public defenders in New York. A few days into their trip, Marie went to her room to take a nap and wasn't heard from again. Her body was discovered in bushes on the edge of the resort days later. Royal Turks and Caicos Island Police told her family she was strangled, but Kuhnla says they've relayed to them little else."We haven't been given an autopsy report ... that was completed two weeks after her body was discovered. We don't know the time of death," said Kuhnla.Also upsetting for Kuhnla: it took 34 days to ship her body back, despite initial promises it would only be a few days."Because of how it was embalmed, it decayed a lot," said Kuhnla.That prevented family from have their own autopsy conducted and even viewing her body."It was heartbreaking and feeling disrespected ... makes me feel distrusting of the investigation," said Kuhnla.Kuhnla said his family has had concerns from the beginning. He says on the first night his mother's friends noticed her missing, police declined to search because it was dark out. According to Kuhnla, his family is now more hopeful with the FBI joining the probe. "I feel good about the FBI's involvement. I just want answers. She spent her life fighting for justice for those who couldn't afford it themselves. She deserves every effort to be made to get justice for her," said Kuhnla.In a statement, a Royal Turks and Caicos Island Police spokesperson says the family has been given "updates regarding all relevant information" but declined to comment further. 10News also reached out to the FBI but haven't heard back. 2236.99), which lets you add cool effects to videos and photos, took second place.Apple declined to say how many times the apps have been downloaded.In gaming, it was no surprise that the immensely popular Fortnite topped the charts. The number two spot went to Helix Jump, a game in which players navigate a falling ball through a maze. That was followed by Rise Up, a game that lets players protect a balloon from obstacles.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved. 1560

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